Question

A 63-year-old with T2DM, eGFR 42 mL/min/1.73 m², UACR 380 mg/g. Which therapy is recommended to slow CKD progression?

Accepted Answer

Initiate SGLT2 inhibitor if eGFR ≥20 mL/min/1.73 m²

Answer

DPP-4 inhibitor regardless of albuminuria

Answer

Avoid SGLT2 inhibitors until eGFR ≥60

Answer

Start ACEi only; SGLT2 offers no renal benefit

Answer

Switch metformin to sulfonylurea

Practice question

A 63-year-old with T2DM, eGFR 42 mL/min/1.73 m², UACR 380 mg/g. Which therapy is recommended to slow CKD progression?